Article Abstract

Clinical observations of the effect of continuous enteral nutritional support through an indwelling jejunal feeding tube in the abdominal wall on improving subjective well-being after surgery and during chemotherapy

Authors: Liang Li, Youchun Wu, Mingzhe Li, Jianpeng Huang, Tengfei Hao, Liang Sui, Changhua Zhang

Abstract

Background: Oral nutritional support is a general means of nutritional support after gastric cancer surgery and during postoperative chemotherapy. The main deficiency of oral nutritional support is that patients, due to various factors, cannot intake enough calories, resulting in poor nutritional support. Therefore, it is necessary to explore a nutritional support means that can ensure energy intake and to explore the significance of continuous enteral nutrition in improving the subjective tolerance of patients after gastric cancer surgery and during postoperative chemotherapy.
Methods: Twenty-eight patients with gastric cancer were divided into 2 groups: 13 cases in group A and 15 cases in group B. Group A was the observation group, in which an indwelling jejunal feeding tube was placed intraoperatively through the abdominal wall; enteral nutritional support was provided during postoperative treatment and postoperative chemotherapy and continued until the end of chemotherapy. In group B, a jejunal feeding tube was not placed during surgery; therefore, enteral nutritional support was not provided during postoperative chemotherapy. The subjective overall well-being and subjective physical status of patients in the 2 groups during chemotherapy were observed and compared.
Results: The subjective overall well-being and subjective physical status of patients in group A were better than those in group B. However, there was no significant difference in subjective overall well-being, but there was a significant difference in subjective physical status.
Conclusions: Enteral nutritional support with an indwelling jejunal feeding tube after gastric cancer surgery until the end of chemotherapy is one a feasible measure and is beneficial to the rehabilitation of patients and the implementation of chemotherapy. However, further studies with larger samples and more clinical data are needed.